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1801888003
MICKI G LACKER
DALLAS, TX
NPI
1801888003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 504641)
Enumeration Date
2005-08-16
Last Update Date
2019-08-15
Business Address
MICKI G LACKER NP
5323 HARRY HINES BLVD
DALLAS, TX 75390
Phone number: 214-645-8000
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Mailing Address
MICKI G LACKER NP
PO BOX 845347
DALLAS, TX 75284-7208
Phone number: 214-645-8000
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